The therapist-client relationship in the treatment of obsessive compulsive disorder
Keywords:
Obsessive compulsive disorder, Functional analytic psychotherapy, Behavior therapyAbstract
This article considers the possibilities of functional analytic psychotherapy in the treatment of obsessive compulsive disorder. Functional analytic psychotherapy is a form of behavioral psychotherapy, that differs from traditional behavioral treatments like social skills training or desensitization, because it focuses exclusively on the opportunities for profound change that occur within the confines of an intimate and
intense interpersonal relationship. Obsessive Compulsive Disorder is an anxiety disorder characterized by repetitive and severe obsessions and
compulsions that cause subjective suffering and objective losses. Although, at first sight, it is not an interpersonal problem, we will show how Functional Analytic Psychotherapy can contribute to its treatment. Turning-points are discussed in the relationship between a therapist and a 47 year-old client with treatment-resistant Obsessive Compulsive Disorder since early adolescence. In-vivo learning opportunities, as conceptualized by Functional Analytic Psychotherapy, are identified in the therapist-client relationship, and the reasons for the therapeutic effects are discussed.
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References
American Psychiatric Association. (2003). DSM-IV Manual diagnóstico e estatístico dos transtornos mentais. Porto Alegre: Artes Médicas.
Clark, D. (2004). Cognitive-behavior therapy for OCD New York: Guilford.
Cordioli, A. V. (2004). Vencendo o transtorno obsessivo-compulsivo: manual da terapia congnitivo-comportamental para pacientes e terapeutas. Porto Alegre: Artes Médicas.
Coles, M. E., Frost, R. O., Heimberg, R. G., & Rheaume, J. (2003). Not just right experiences: perfectionism, obsessive-compulsive features and general psychopathology. Behaviour Research & Therapy, 41 (7), 681-700.
Ferrier, S., & Brewin, C. R. (2005). Feared identity and obsessive-compulsive disorder. Behaviour Research and Therapy, 43 (9), 1363-1371.
Fisher, P. L., & Wells, A. (2008). Meta-cognitive therapy for obsessive-compulsive disorder: a case series. Journal of Behavior Therapy and Experimental Psychiatry, 39 (2), 117-132.
Guimarães, S. (2001). Exposição e prevenção de respostas no tratamento do transtorno obsessivo-compulsivo. In M. L. Marinho & V. E. Caballo (Orgs.), Psicologia clínica e da saúde (pp.177-196). Londrina: UEL.
Hand, I. (1992). Verhaltenstherapie der Zwangsstörungen. In I. Hand, W.K. Goodman & U. Evers (Orgs.), Zwangsstörungen: neue Forschungsergebnisse (pp.89-124). Berlin: Springer Verlag.
Hounie, A G., Lopes A. C., Labate C., Belotto C., Mathiis M. E., & Borcato S. (2005). Transtorno obsessivo-compulsivo. São Paulo: Protoc.
Ito, L. M. (1996). Abordagem comportamental do transtorno obsessivo-compulsivo. In E C. Miguel Filho (Org.), Transtornos de espectro obsessivo-compulsivo (pp.98-105). Rio de Janeiro: Guanabara Koogan.
Kohlenberg, R. J., & Tsai, M. (2001). Psicoterapia analítico funcional: criando relações terapêuticas intensas e curativas. Santo André: ESETec.
Meyer, V., & Levy, R. (1973). Modification of behavior in obsessive-compulsive disorders. In H. E. Adams & P. Unikel (Orgs.), Issues and trends in behavior therapy (pp. 77-136). Springfield: Charles Thomas.
Moulding, R., Doron, G., Kyrios, M., & Nedeljkovic, M. (2008). Desire for control, sense of control and obsessive-compulsive checking: an extention to clinical samples. Journal of Anxiety Disorders, 22 (8), 1472-1479.
Rachman, J. S. (2003). The treatment of obsessions Oxford: Oxford University Press.
Rangé, B. P. (2003). Transtorno obsessivo-compulsivo. In R. M. Caminha, R. Wainer, M. S. Oliveira & N. Piccoloto (Orgs.), Psicoterapias cognitivo-comportamentais: teoria e prática (pp.145-153). São Paulo: Casa do Psicólogo.
Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A., & Marín-Martínez, F. (2008). Psychological treatment of obsessive-compulsive disorder: a meta-analysis. Clinical Psychology Review, 28 (8), 1310-1325.
St.Clare, T., Menzies, R. G., & Jones, M. K. (2008). Danger ideation therapy (DIRT) for obsessive compulsive washers: a comprehensive guide to treatment Bowen Hills: Australian Academic Press.
Szechtman, H., & Woody, E. (2004). Obsessive-compulsive disorder as a disturbance of security motivation. Psychological Review, 111, 111-127.
Tsai, M., Kohlenberg, R. J., Kanter, J. W., & Waltz, J. (2008). Therapeutic technique: the five rules. In M. Tsai, R. J. Kohlenberg, J. W. Kanter, B. Kohlenberg, W. C. Follette & G. M. Callaghan (Orgs.), A guide to functional analytic psychotherapy: awareness, courage, love and behaviorism (pp.61-102). New York: Springer.
Wegner, D. M. (1989). White bears and other unwanted thoughts. Supression, obsession and the psychology of mental control New York: Guilford.
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